Maternal Exam 1 Practice Flashcards

Maternal Exam 1 vocabulary flashcards covering prenatal care, labor, complications, and maternity medications based on the lecture transcript.

Fetal Fibronectin

A test anticipated for a client at $33$ weeks gestation reporting pressure, cramping, and decreased fetal movement.

Betamethasone

A medication administered to assist fetal lung maturity in a client experiencing preterm labor at $32$ weeks gestation.

Amniocentesis

A diagnostic test used to detect genetic conditions such as Trisomy $21$ (Down syndrome).

Quickening

The first fetal movements experienced by a pregnant woman, typically occurring between the sixteenth to twentieth ($16-20$) weeks of pregnancy.

Diaphragm Refitting

A requirement for contraception where the device must be checked if the client's weight changes by $15\,lbs$ (gain or loss).

2020 National Health Goals for Pregnancy

Recommendations that include taking $400\,mg$ of folic acid daily, smoking cessation, and zero alcohol intake.

First stage, latent phase

The period of labor characterized by cervical dilation of $3-4\,cm$, contractions occurring every $8$ minutes lasting $30-40$ seconds, and the fetus at a $-2$ station.

Nonreactive Non-Stress Test (NST)

A result lasting over $20$ minutes that may suggest the pregnant client is hypoglycemic.

Pyrosis

Heartburn during pregnancy; management includes eating small meals and not lying down after eating.

Endometrial Proliferation Phase

The phase of the menstrual cycle during which the thickening of the endometrium occurs.

Intrauterine Device (IUD) Contraindication

A contraceptive option that is contraindicated for a client with a bicornate uterus.

Variable Deceleration

A fetal heart rate pattern that requires the priority nursing intervention of changing the maternal position.

Magnesium Sulfate Care

Interventions including assessing respirations and deep tendon reflexes (DTR) every hour, continuous fetal monitoring, and ensuring calcium gluconate is at the bedside.

Macrosomia

The greatest risk for the fetus when a mother is diagnosed with gestational diabetes mellitus (GDM).

First Trimester Routine Tests

A screening panel including a Complete Blood Count (CBC), HIV testing, and Blood type and RH factor.

Meconium Aspiration

A risk for a fetus at $42$ weeks gestation during active labor.

Intrauterine Growth Restriction (IUGR)

A condition suggested by a fundal height of $28\,cm$ at $32$ weeks gestation or by the complication of maternal smoking (one pack per day).

Omphalocele

A developmental abnormality caused by the intestines failing to return to the abdominal cavity during intrauterine development.

Rho(D) Immune Globulin

A medication administered to an Rh-negative woman after the birth of an Rh-positive baby to prevent maternal D antibody formation.

Hyperemesis Gravidarum

A condition involving vomiting severe and persistent enough to cause weight loss, dehydration, and electrolyte imbalance.

BMI $32$ Weight Gain Recommendation

An expected weight gain of $11-20\,lbs$ ($5-9.1\,kg$) during pregnancy for an obese client.

Misoprostol

A medication likely prescribed for a client two hours postpartum presenting with dizziness, lightheadedness, a blood pressure of $96/62\,mmHg$, and a pool of blood.

Gestational Diabetes Exercise Rule

The recommendation to eat complex carbohydrates and proteins prior to exercising.

Folic Acid

A vitamin crucial for neurological development and the prevention of fetal neural tube defects.

Fundal Height at $21$ Weeks

Expected palpitation location is slightly above the umbilicus.

Amniotic Fluid Functions

Permits free movement of the baby, provides temperature control, and cushions the baby from minor trauma.

Terbutaline

A medication frequently used in the obstetric setting for tocolysis.

Moderate Variability

A fetal heart rate assessment finding where the amplitude varies by $15$ to $20\,beats/min$.

Metronidazole Instructions

Teaching for a client with trichomoniasis to abstain from alcohol use throughout the duration of treatment.

GTPAL Case Study 1 ($4-0-1-2-1$)

Status for a client currently at $28$ weeks gestation with a history of one elective abortion at $9$ weeks, one live healthy delivery at $35$ weeks, and one spontaneous abortion at $15$ weeks.

Nagele's Rule Calculation

Calculation of the estimated date of delivery (EDD) as February $11$, $2021$, if the last menstrual period (LMP) was May $4$, $2020$.

Magnesium Sulfate and Epidural Interaction

The nurse should first review the complete blood count (CBC) for a decreased platelet count before the procedure.

Non-pharmacological Pain Control

Options for labor including breathing patterns, hydrotherapy, birth balls, and massage.

Uteroplacental Insufficiency

A fetal heart rate tracing interpretation associated with specific late deceleration or abnormal patterns.

GTPAL Case Study 2 ($5-2-1-1-3$)

Status for a pregnant client with a history of deliveries at $39$, $40$, and $35$ weeks, and a spontaneous abortion at $17$ weeks.

Side-lying Rest Position

Preferred position to prevent the weight of the baby from trapping blood in the legs and to increase placental blood flow.

Positive Sign of Pregnancy

Objective evidence of pregnancy such as audible fetal heart tones with a doppler.

HELLP Syndrome Contraindication

Preparing for epidural anesthesia should be questioned by the nurse if the client has thrombocytopenia (low platelet count).

Estrogen Breast Changes

The expected assessment finding of darkened breast areolae during pregnancy.

Surfactant

A substance that prevents fetal alveoli from collapsing on expiration; levels are a primary estimation of fetal maturity.

Epidural Maternal Hypotension Prevention

Interventions including giving a $500\,mL$ IV bolus of lactated ringers and placing the client in a lateral position.